E/M sections of proposed fee schedule spark demand for unified policies

Why This Topic Matters

CMS proposals affecting E/M documentation and payment policy can change workflow, compliance practices, and staff education planning. Understanding the direction of the final fee schedule helps organizations prepare for updates without training on provisions that may change before final release.

Article Sections

1. Rulemaking

   Introduces the CMS proposed fee schedule context and stakeholder reaction to the agency’s planned E/M-related changes. Also references prior CMS rulemaking responses to public comments.

2. Commenters pan prolonged services proposal

   Summarizes concerns from specialty groups and individual commenters regarding the proposed prolonged services policy and the need for alignment between CMS and CPT guidance.

3. Split/shared rule receives scrutiny

   Reviews public feedback on CMS’s split/shared visit policy and the broader discussion around time-based and component-based approaches within Medicare physician fee schedule policy.

4. Negotiations may continue

   Describes ongoing discussions among CMS, the AMA, and other stakeholders about potential alignment of E/M guidance and the timing of final rule publication.